Rose State College Student Senate Executive Officer Application

Rose State College Student Senate Executive Officer Application (VACANCY)
INFORMATION COVERED BY PRIVACY ACT
NOT FOR PUBLIC RECORD
Return this form by 12 p.m., January 28, 2013
to the Student Activities Office
PLEASE PRINT:
Date: ____________________
Name: ____________________________________________________________________________________________
Address: __________________________________________________________________________________________
City: ___________________________________ Zip: _______________________
Cell Phone: __________________________________________text? Y / N
Email Address ________________________________________________
Date of Birth: ____________________________ (year optional)
Major Field of Study ________________________________________________________________________________
Student ID Number _________________________________________
Executive Senate Position Applying For: ________________________________________________________________
Open positions for Executive Office for remainder of 2013: VICE PRESIDENT
Initial Each Of The Following:
I understand that failure to maintain the standards and provisions of the Student Senate Constitution and Bylaws is grounds for removal. ____________ (initial here)
As a candidate for an Executive Student Senate Officer, I shall remain enrolled in not less than nine semester credit hours at Rose State College for Spring 2013 and will maintain at least an overall 3.0 GPA. __________
I understand that in the case that I have more than 45 hours completed and have not completed my zero-level course requirements, that I am not eligible to run for Student Senate Executive Officer. ________
NOTE: You must meet and maintain the required accumulative 3.0 GPA and be enrolled in at least nine credit hours for Spring 2013 semester to be placed on the ballot.
I hereby authorize the Office of Student Activities to verify that I have met the requirements for Student Senate.
___________________________________________________ __________________
Candidates Signature Date
*******************************************************************************
(STAFF USE ONLY)
_________________ _________________ Approved: _________
Cumulative GPA Spring 2013 Does not meet requirements: _________

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Rose State College Student Senate Executive Officer Application (VACANCY)
INFORMATION COVERED BY PRIVACY ACT
NOT FOR PUBLIC RECORD
Return this form by 12 p.m., January 28, 2013
to the Student Activities Office
PLEASE PRINT:
Date: ____________________
Name: ____________________________________________________________________________________________
Address: __________________________________________________________________________________________
City: ___________________________________ Zip: _______________________
Cell Phone: __________________________________________text? Y / N
Email Address ________________________________________________
Date of Birth: ____________________________ (year optional)
Major Field of Study ________________________________________________________________________________
Student ID Number _________________________________________
Executive Senate Position Applying For: ________________________________________________________________
Open positions for Executive Office for remainder of 2013: VICE PRESIDENT
Initial Each Of The Following:
I understand that failure to maintain the standards and provisions of the Student Senate Constitution and Bylaws is grounds for removal. ____________ (initial here)
As a candidate for an Executive Student Senate Officer, I shall remain enrolled in not less than nine semester credit hours at Rose State College for Spring 2013 and will maintain at least an overall 3.0 GPA. __________
I understand that in the case that I have more than 45 hours completed and have not completed my zero-level course requirements, that I am not eligible to run for Student Senate Executive Officer. ________
NOTE: You must meet and maintain the required accumulative 3.0 GPA and be enrolled in at least nine credit hours for Spring 2013 semester to be placed on the ballot.
I hereby authorize the Office of Student Activities to verify that I have met the requirements for Student Senate.
___________________________________________________ __________________
Candidates Signature Date
*******************************************************************************
(STAFF USE ONLY)
_________________ _________________ Approved: _________
Cumulative GPA Spring 2013 Does not meet requirements: _________